Healthcare Provider Details

I. General information

NPI: 1619381118
Provider Name (Legal Business Name): FATIN SAKO PHARM.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29675 THE OLD RD
CASTAIC CA
91384-4570
US

IV. Provider business mailing address

29675 THE OLD RD
CASTAIC CA
91384-4570
US

V. Phone/Fax

Practice location:
  • Phone: 661-702-6936
  • Fax: 661-702-1542
Mailing address:
  • Phone: 661-702-6936
  • Fax: 661-702-1542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number50351
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: